NCC230015_NOI 121196 Payment Verification_20230104

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/3/2023 1:07:55 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/3/2023 1:51:48 PM (Review - NOI 121196 Twin Lakes)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/3/2023 1:08 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 6, 2023 5:00 PM
1/3/2023 1:08 PM
by Workflow 1/3/2023 1:52:06 PM (Workflow Start Event)
Submit by Holloman, Tevye L 1/4/2023 1:21:06 PM (Payment Verification for NCC230015)
F Wilfredo Ortiz
Holloman, Tevye L assigned the task to Holloman, Tevye L 1/4/2023 1:20 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 14, 2023 5:00 PM
1/3/2023 1:52 PM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Twin Lakes
Lot Numbers
(If listed on the eNOI)
Lot 5
NC Reference No.*
NCG01-2023-0015
Certificate of
NCC230015
Coverage (COC) No.*
Invoice Date
1/3/2023
Initial Invoice No.
NCC230015-2023
Initial Fee
$ 100.00
Invoice Due Date
2/2/2023
Important: If you change the choice below to Payment NOT RECEIVED, the application will be rejected, and a COC will
not be issued. This is the ONLY way to reject an eNOI at this step.
Payment Received*
Payment Received.
Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
1/4/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
669811778
Transaction Number*
NOI Tracking No.
121196
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-UNION-2022-Twin Lakes